Medical Billing Lesson 16: Ambulatory Surgery Centers question n answers 2023

Medical Billing Lesson 16: Ambulatory Surgery Centers question n answers 2023________is a fixed amount of money per patient per unit of time paid in advance to the ASC for the delivery of health care services. - correct answer Capitation For screening flexible sigmoidoscopy and screening colonoscopy performed in an ASC, Medicare will pay ___% of the allowed amount for the service. - correct answer a.70 b.80 c.100 d.None are correct None are correct Payments made to ASC facilities from private insurers are based on - correct answer the contract the facility has negotiated with the payer. CMS developed the standardized survey, _____________ , to measure and assess the experience of care for patients who have a surgical procedure performed in and ASC. - correct answer OAS CAHPS Ambulatory surgical centers are health care facilities focused on providing - correct answer same-day surgical care. Medicare makes a single payment is made to an ASC facility for a covered surgical procedure. Related services provided during the surgical session are __________, which means they are bundled together and paid in one lump sum. - correct answer Packaged When multiple surgical procedures are performed in the same operative session at an ASC, the second surgery - correct answer will be subject to a multiple procedure discount of 50%. Medicare makes facility payments to ASCs - correct answer for only specific ASC covered surgical procedures. Common ASC specialties include all but which of the following: - correct answer Gynecological Modifier ___ is required by Medicaid to identify an ASC facility service. - correct answer sg Under the MPFS, payment rate is assigned by relative value units which take are calculated using the following three factors: - correct answer Amount of physician work involved, malpractice expense, practice expense The accrediting body for ambulatory surgical centers is - correct answer AAAHC. In the absence of an NCD, an item or service may be covered at the discretion of the Medicare Administrative Contractor (MAC) based on Answer - correct answer LCD According to Medicare, an ASC is a distinct entity that provides outpatient surgical services and operate either Answer or are operated by a ____________. - correct answer independently, hospital The first ASC facility was launched in Phoenix, AZ in the year - correct answer 1970 Hospital outpatient surgery claims are submitted using the ____claim form. - correct answer UB04 ASC claims are submitted to Medicare and Medicaid using the ____ claim form. - correct answer cms 1500